CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Ohiohealth Morrow County Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,145
Cash Discount Price: $1,975
vs. Medicare Baseline: 4.70x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Ohiohealth Morrow County Hospital is $1,145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,975. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.70x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.

Cash / Self-Pay

$1,975

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,145

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $1,975 (810%)

Insurance Median: $1,145 (470%)

Cash: $1,975 (810% of Medicare)

Ins. Median: $1,145 (470% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 470% of the Medicare baseline (a markup of 370%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medicaid / KanCare	$484 - $493	199%
UnitedHealthcare	$484 - $2,488	199%
Blue Cross Blue Shield	$489 - $2,346	201%
Amerihealth Caritas - All Plans	$498	204%
Humana	$498 - $2,826	204%
Molina Exchange - All Other Plans	$798	327%
Medicare (plans)	$1,124 - $1,147	461%
Aetna	$1,145 - $2,613	470%
Caresource Marketplace - All Other Plans	$1,405	576%
Medical Mutual Of Ohio Marketplace	$2,279	935%
Ohiohealthy Network - All Other Plans	$2,279	935%
Ohiohealthy Preferred	$2,279	935%
Medical Mutual Of Ohio Comm - All Other Plans	$2,461	1010%
Medical Mutual Of Ohio - Admin Serv	$2,583	1060%
Phcs - All Plans	$2,795	1147%
Cigna	$2,856	1172%
Multiplan - All Plans	$2,886	1184%
Healthstar Comm - All Plans	$2,917	1197%
Beech Street - All Plans	$2,947	1209%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,975.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ohiohealth Morrow County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.